Stability of the distal radioulnar joint before and after corrective osteotomy of the distal radius

IF 1 4区医学 Q4 ORTHOPEDICS Hand Surgery & Rehabilitation Pub Date : 2025-04-01 DOI:10.1016/j.hansur.2025.102125

Daniel Zobrist, Andreas Schweizer, Lisa Reissner

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Abstract

Malunion of the distal radius with dorsal angulation reduces stability of the distal radioulnar joint. The aim of the study was to sonographically quantify the stability of the distal radioulnar joint in 20 patients following corrective osteotomy of the distal radius and to investigate the subjective and clinical results preoperatively, three and twelve months postoperatively. Sonographically measured dorsovolar ulnar head translation relative to the distal radius was significantly higher (3.6 mm) preoperatively compared to 2.9 mm three months postoperatively. Twelve months postoperatively the result was 3.2 mm, equal to the contralateral side (3.2 mm). Pain, Disability of the Arm, Shoulder and Hand questionnaire and Patient-Reported Wrist Evaluations, wrist flexion, radial and ulnar inclination, grip strength and pronation and supination torque improved significantly. Corrective osteotomy of the distal radius shows good subjective and clinical results and improves sonographically measured distal radioulnar joint stability.

Level of evidence

III.

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桡骨远端矫正截骨术前后桡骨远端关节的稳定性。

桡骨远端畸形愈合与背侧成角降低远端桡尺关节的稳定性。本研究的目的是超声量化20例桡骨远端矫正截骨后远端尺桡关节的稳定性，并调查术前、术后3个月和12个月的主观和临床结果。超声测量的背掌尺头相对桡骨远端移位术前明显高于术后3个月的2.9 mm （3.6 mm）。术后12个月结果为3.2 mm，与对侧（3.2 mm）相等。疼痛，手臂，肩膀和手的残疾问卷调查和患者报告的手腕评估，手腕屈曲，桡骨和尺骨倾斜度，握力和旋前和旋后扭矩显著改善。桡骨远端矫正截骨术表现出良好的主观和临床效果，提高了超声测量的尺桡远端关节稳定性。证据水平：III。

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.